proximal hamstring

Symptoms

Pain lower gluteal region

Worsened by

- sprinting

- prolonged sitting

Examination

Tender lateral ischial tuberosity

Pain with resisted knee flexion

MRI

Peritendinous edema / low grade partial tears

Epidemiology

Adolescent apophyseal avulsion

- treat non operatively

- unless displaced > 2 cm

Adult

- soft tissue avulsion

Aetiology

Usually associated with sporting activities

- skiing

- water skiing

Violent contraction

- knee extended

- hip flexing

Anatomy